早期持续壁负压吸引对乳腺癌术后皮下积液预防作用的临床评价  

Clinical evaluation of early continuous wall negative pressure suction′s prevention role in postoperative subcutaneous effusion for breast cancer

作　　者：付靖[1] 李靖若[1] 王燕[1] 张临风[1] 辛静[2] 张莹莹[1] 李淑兰[1] 

机构地区：[1]郑州大学第一附属医院乳腺外二科2病区,450052 [2]郑州大学第一附属医院手术室,450052

出　　处：《中华临床医师杂志（电子版）》2013年第7期44-46,共3页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的通过对乳腺癌改良根治术后患者的临床病例资料统计对比分析,探讨术毕即刻持续壁负压吸引对乳腺癌患者术后皮下积液发生率的影响。方法回顾性分析2011年6月至2012年9月改良根治术治疗的120例乳腺癌患者临床病例资料,将其随机分为三组:试验A组40例患者双管引流,术毕即刻外接壁负压持续吸引,24h后改为每2h一次(q2h)间断壁负压吸引;试验B组40例患者双管引流,术毕24h后外接壁负压q2h间断吸引;对照C组40例患者双管引流,术毕外接普通负压鼓引流,比较三组对术后皮下积液发生的影响。结果三种不同术后引流方式对皮下积液发生率(χ2=12.834,P<0.05)、置管天数(χ2=14.064,P<0.05)及皮下积液累及范围(χ2=12.468,P<0.05)的影响均具有统计学差异。术毕即刻持续壁负压吸引组(A组)与对照组(C组)比较,积液发生率降低(χ2=12.624,P<0.05),置管天数缩短(χ2=11.665,P<0.05),积液累及范围减小(χ2=11.25,P<0.05);与间断壁负压吸引组(B组)比较,积液发生率降低(χ2=4.114,P<0.05),置管天数(χ2=1.127,P>0.05)及积液累及范围(χ2=2.222,P>0.05)统计学差异不明显。结论术毕即刻持续壁负压吸引较间断壁负压吸引及传统吸引方式更好的预防皮下积液的发生,临床统计数据具有统计学意义。Objective Through the research of postoperative breast cancer patients clinical cases statistics contrast analysis,this paper discusses that if the postoperative immediately continuous wall negative pressure suction has an influence on breast cancer incidence of postoperative subcutaneous effusion.Methods Retrospective analysis of 2011 June-September 2012 modified radical mastectomy treatment of 120 cases of breast cancer patients clinical case statistics,which were divided into three groups：Experimental group A includes 40 cases,who had double tube drainage,postoperative immediately continuous wall negative pressure suction for 24 hours,then replacing with once every 2 hours （q 2 h）discontinuity negative pressure suction.Experimental group B includes 40 cases,who had double tube drainage connected with discontinuity negative pressure suction once every 2 hours（q 2 h） after operation for 24 hours.Control group C includes 40 cases who had double tube drainage connected with common negative pressure drum,compare three groups of postoperative subcutaneous effusion happen influence.Results Three different postoperative drainage methods on subcutaneous effusion incidence （x2 =12.834,P ＜ 0.05）,catheter days （x2 =14.064,P ＜ 0.05）and subcutaneous effusion involving the range of influence （x2 =12.468,P ＜ 0.05）which had a statistics difference,group A compared with controls,reduce the incidence of effusion（x2 =12.624,P ＜ 0.05）,shorten catheter days （x 2 =11.665,P ＜ 0.05）,reduced effusion involving the range （x2 =11.25,P ＜ 0.05）,group A compared with B,reduced the incidence of effusion（x2 =4.114,P ＜0.05）,catheter days（x2 =1.127,P ＞0.05） and effusion involving the range（x2 =2.222,P ＞ 0.05） statistics difference was not obvious.Conclusions Postoperative immediately continuous wall negative pressure suction between a discontinuity negative pressure suction and traditional way to attract better prevent subcutaneous effusion occurrence,clinical statistical data with

关 键 词：乳腺肿瘤 手术后并发症 皮下积液 预防 

分 类 号：R737.9[医药卫生—肿瘤]